• Request for information from the Midwest Region WIC programs

  Please download the following documents. 

  • Midwest_States_WIC_RFI.pdf

  • Midwest_States_Survey.xls  

• WIC Policy Manual
  • Table of Contents  

• Michigan WIC Bridge Card Issuance Log -  This log is used by local agencies/clinics to maintain Bridge Card inventory and client issuance information.  The Excel file contains Instructions and Card Log tabs.
  • WIC Bridge Card Issuance Log Spreadsheet (Excel)

• Risk Code Web Cast - The full web cast from 9-6-07. 

If questions, contact Judith Anderson at andersonjv@michigan.gov.

• WIC Coupon Order Form (DCH-0217 Rev.04/2006)

• Michigan Breastfeeding Awareness Month 2008

          Breastfeeding Awareness Month Proclamation (pdf)

Lactnet Update Newsletter,
World Breastfeeding Week Edition (pdf)

Display Board Templates

1. Gold Medal Template

Certificates of Recognition

    1.  Community (PDF) 
    2.  Community (Word) 
    3.  Mother (PDF) 
    4.  Mother (Word)       

Breastfeed With Pride Materials

1. Bookmark
2. Button Outline
3. Table Tent

International Lactation Consultant Association (ILCA) Materials

    1.   PowerPoint Presentation
     2.    Waiting Room Sign (English)   
     3.    Waiting Room Sign (Spanish)  
     4.   WBFWK Cake Logo

• Breast Pump Logs and Forms

Save Forms on your computer, print out and fill in by hand.

Inventory and Distribution Logs

• Single-User Breast Pump and Attachment Kit Log (DCH-1211)
• Multi-User Breast Pump Inventory Log (DCH-1212)
• Breast Pump and Attachment Kit Distribution Log (DCH-1213)

Breast Pump Forms

• Multi-User Breast Pump Loan and Release Agreement (DCH-1214)
• Single-User Breast Pump Release Agreement (DCH-1215)
• Loaner Breast Pump Return Receipt (DCH-1216)

The above DCH logs and forms will be made available for on-line ordering.   They will also be translated into Spanish and Arabic.

 

• Health and Diet Questions that incorporate the new risk codes related to VENA will be in effect October 1, 2007.  These forms replace Health Histories and Diet Questionnaires.  The forms will be available through E-forms in September sometime, but are posted in PDF format for agencies who give them out in advance of client visits.  Form numbers and titles are:

DCH 0180-VENA-07 WIC Infant

DCH 0181-VENA-07 Pregnant Woman

DCH 0182newVENA Postpartum Woman

DCH 0183-VENA-07 WIC Child

DCH 0494-VENA-07 WIC Infant Mid-Cert

DCH 0758-new-VENA WIC Child Recert

DCH 1300-A-VENA Postpartum for Miscarriage

DCH 1301-new-VENA Family Health History Questions

For Spanish versions, see below.

• Discrimination Complaint form
  • DCH-0297a Discrimination Complain Form

• Nutrition Education/ Breastfeeding Time Study

Nutrition Education and Breastfeeding Time Study (NEBFTS) Documents

The following documents and forms may be downloaded and completed electronically:

• Michigan WIC Cost Study

  • WIC Cost Study(PDF file)

• Link to WIC Coordinator Webcast from November 9, 2007

• Link to HHS National Women's Health Information Center (Breastfeeding) website.

• Link for WIC Income Webcast 9/2006 (Click for Webcast)
  • Includes Webcast presentation by Terri Riemenschneider and Carole Flevaris
  • Handout materials for training
  • Revised Income Help sheets
  • Military Pay Help sheet
    • Questions and Answers (Word document) 

• Link for Web Cast of Annual WIC Conference on Social Marketing
  • http://www.wmsu.org/

• For staff training on counseling participants about folic acid (sources, RDAs, supplements, inhibitors, barriers to adequate intake) visit www.folicacid.net. This is an informative, interactive web-based training module for health professionals from March of Dimes and the Association of Schools of Public Health.

• Spanish WIC Health Histories - Camera ready files for copying with new health histories(PDF file)

  • WIC Infant Health and Diet Questions (Spanish)
  • WIC Infant Mid-Certification Health and Diet Questions (Spanish)
  • WIC Child Health and Diet Questions (Spanish)
  • WIC Child Recertification Health and Diet Questions (Spanish)
  • Pregnant Woman's Health and Diet Questions (Spanish)
  • Postpartum Woman's Health and Diet Questions (Spanish)
  • Postpartum Woman's Health and Diet Questions - A (Spanish)
  • Family Health History Questions (Spanish)

• Link to state WIC phone numbers on the USDA website:

  • http://www.fns.usda.gov/wic/Contacts/statealpha.HTM

• Food and Nutrition Service (FNS) Instruction Series 113-1, Civil Rights Compliance and Enforcement-Nutrition Programs and Activities.

  For the complete FNS Instruction document see:

FNS INSTRUCTIONS 113-1 (PDF format)

• Information on upcoming WIC trainings can be found on this page.

http://www.mphi.eductrng.net/page.cfm?pageBodyID=19

• Information on upcoming WIC conferences can be found at:

www.mphi.eductrng.net

• WIC FoodCard
  • WIC Dec 2007 FoodCard-English (PDF)
  • WIC Nov 2006 FoodCard-Spanish (PDF)
  • WIC Dec 2006 FoodCard-Arabic (PDF) 

• For resources related to quit smoking such as "Expectant Mother's Quit Kit" see
  • Tobacco Web Page of MDCH

• WIC Anthropometric Manual (PDF version) - Rev: 4-2-2004
  • Anthropometric Manual
  • Anthropometric Manual Appendixes
• Nutrition Service Plan Information 2007-2008 Fiscal Year (updated October 24, 2007)

The following documents are in Word format. Save to your computer before completion, then open the files using Word. Note that some of the documents below are designated as Word Forms so that text can be typed in the shaded area and "X" can be inserted in the checkboxes. Move between fields with the tab key.

(Note: Data files have not been updated.)

Documents for NSP 2007:

• Attach A-H (Form)
• Attach B-Log BF Plan (Form)
• Attach B-Log NE Plan (Form)
• Attach B-Log Outreach Plan(Form)
• Attach C-Immunization Survey(Form)
• Attach F-Civil Rights(Form)
• Checklist(Form)

The following NSP documents for 2007 are not forms. 

• 5.03Eexh generic
• Attach B-NSP Sample Plan
• Attach D-Class III
  

Data for 2007 NSP:

• Data Information Document (Word)
• PNSS 2006 CLINIC DATA
• PNSS 2006LOCAL AGENCY
• PNSS 2006 STATE DATA
• PedNSS 2006 CLINIC DATA
• PedNSS 2006 LOCAL AGENCY
• PedNSS 2006 STATE DATA

Data for 2005 NSP:

• PNSS 2004 CLINIC DATA
• PNSS 2004 LOCAL AGENCY DATA
• PNSS 2004 STATE DATA
• PedNSS 2004 CLINIC DATA
• PedNSS 2004 LOCAL AGENCY DATA
• PedNSS 2004 STATE DATA

Breastfeeding Data for 2005:

• BF Duration Summary 05 Spreadsheet (xls)
• BF Rate Summary 05 Spreadsheet (xls)

Data for 2004 NSP:

• PNSS 2003 CLINIC DATA
• PNSS 2003 LOCAL AGENCY DATA
• PNSS 2003 STATE DATA
• PedNSS 2003 CLINIC DATA
• PedNSS 2003 LOCAL AGENCY DATA
• PedNSS 2003 STATE DATA

• PNSS 2002 CLINIC DATA
• PNSS 2002 LOCAL AGENCY DATA
• PNSS 2002 STATE DATA

• Blackboard Web Site for WIC staff training
• Michigan Breastfeeding Network Newsletter
• "The WIC Program: Background, Trends, and Issues," September 2002

• Michigan WIC Boys 2-5 year old Growth Chart (PDF file):

• Michigan WIC Girls 2-5 year old Growth Chart (PDF file):

• Best Practices Initiative from the Assistant Secretary for Health, U.S. Department of Health and Human Services

• USDA WIC Web Site

• WIC Legislative Requirements are contained in Section 17 of the Child Nutrition Act of 1966

• Michigan WIC No Show Study Executive Summary